アブストラクト
Japanese
| Title | 観血的に洗浄を行った腸腰筋膿瘍の臨床経過 |
|---|---|
| Subtitle | 原著論文 |
| Authors | 大下優介, 江守永, 塩瀬勝之, 田中潤, 筒井完明, 山口正哉 |
| Authors (kana) | |
| Organization | 昭和大学横浜市北部病院整形外科 |
| Journal | 東日本整形災害外科学会雑誌 |
| Volume | 35 |
| Number | 1 |
| Page | 11-15 |
| Year/Month | 2023 / 3 |
| Article | 原著 |
| Publisher | 東日本整形災害外科学会 |
| Abstract | 抄録:腸腰筋膿瘍の治療では抗生剤投与やドレナージなどの保存的対応が一般的に行われるが, 治療方法の選択において明確なエビデンスやガイドラインは現在存在しない. 感染制御が困難となった場合の治療報告は少なく, 観血的治療に対しての明らかなコンセンサスはない. 今回手術加療を選択した腸腰筋膿瘍を6例経験し, 全例感染が制御された. 保存的加療に抵抗性の腸腰筋膿瘍症例では観血的洗浄は検討すべき治療の一つと考えられた. |
| Practice | 臨床医学：外科系 |
| Keywords | iliopsoas abscess 腸腰筋膿瘍, surgery 手術, epidural abscess 硬膜外膿瘍 |
English
| Title | Surgical treatment for pyogenic iliopsoas abscesses |
|---|---|
| Subtitle | |
| Authors | Yusuke OSHITA, Haruka EMORI, Katsuyuki SHIOSE, Jun TANAKA, Sadaaki TSUTSUI, Masaya YAMAGUCHI |
| Authors (kana) | |
| Organization | Department of Orthopaedic Surgery, Showa University Northern Yokohama Hospital |
| Journal | Journal of the Eastern Japan Association of Orthopaedics and Traumatology |
| Volume | 35 |
| Number | 1 |
| Page | 11-15 |
| Year/Month | 2023 / 3 |
| Article | Original article |
| Publisher | The Eastern Japan Association of Orthopaedics and Traumatology |
| Abstract | Abstract: Objective: Antibiotics with or without CT guided drainage is used for treatment of pyogenic iliopsoas abscess. We report six potentially life-threatening cases of pyogenic iliopsoas abscess that were difficult to treat conservatively. We treated these cases by surgical management. Material and methods: We retrospectively analyzed six cases (two male and four female) with pyogenic iliopsoas abscess for which surgical drainage was performed. The average age was 58 (range: 31-78) years. Result: Six patients underwent surgical psoas abscess drainage, five via lumbar lateral approach surgery and one via pelvic ilioinguinal approach surgery. On average duration of intravenous antibiotic administration after surgery was 27 (range: 13-48) days. Mean hospital stay after surgery was 59 (range: 48-70) days. Average duration of follow up after surgery was 430 (range: 61-1219) days. Infection was controlled in all the cases. Therefore, no case required additional surgical drainage. Conclusion: Surgical drainage for pyogenic iliopsoas abscess was successful. Thus, surgical procedure may be considered in cases with uncontrolled infection. |
| Practice | Clinical surgery |
| Keywords | iliopsoas abscess, surgery, epidural abscess |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) 會田勝広, 森澤佳三, 園畑素樹, ほか : 腸腰筋膿瘍の治療経験. 整形外科と災害外科, 48 : 1027-1030, 1999.
- 2) 井上三四郎, 小玉隆男, 山口健一郎, ほか : 整形外科領域におけるCTガイド下穿刺. 整形外科と災害外科, 69 : 858-860, 2020.
- 3) 大下優介, 江守 永, 尾又弘晃, ほか : 化膿性脊椎炎の手術適応と離床時期. 別冊整形外科, 81 : 153-157, 2022.
- 4) 塩崎泰之, 杉本佳久, 下川哲哉, ほか : 当院における腸腰筋膿瘍の治療経験. 中部整災誌, 52 : 149-150, 2009.
- 5) Suzuki, K., Yamaguchi, T., Iwashita, Y., et al. : Case series of iliopsoas abscesses treated at a university hospital in Japan: Epidemiology, clinical manifestations, diagnosis and treat-ment. Intern. Med., 54: 2147-2153, 2015.
残りの1件を表示する
- 6) 牛久智加良, 曽雌 茂, 井上 雄, ほか : 化膿性脊椎炎における治療開始初期のCRP値改善率と保存的治療期間との関係について. J. Spine Res., 11 : 51-55, 2020.
